healht psy lec
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Patient-Provider Behaviors
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Describe patient and provider factors thatcontribute to faulty communication and non-adherence to treatment
Describe what complementary and alternative
medicine (CAM) is and why testing itseffectiveness is difficult
Learning Objectives
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True of meNot true of me
I like going to the doctor for check ups
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Before, physicians authority was accepted
without question or complaint
Now, patients are more involved in theirhealth care
Patients are presented with choices Patients are actively engaged in their treatment
regimen
Patient Role in Health Care
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Communication does not always go smoothly
Consequences Nonadherence to treatment recommendations
Initiation of malpractice litigation
Factors that influence communication Setting
Provider behaviors
Patient behaviors
Nature of Patient-ProviderCommunication
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Inattentiveness
Jargon
Baby talk
Nonperson treatment (depersonalization)
Stereotypes of patients
Provider Contributions to FaultyCommunication
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Personality
Anxiety level
Patient attitudes towards symptoms
Patient Contributions to FaultyCommunication
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Providers rarely receive feedback
When a patient doesnt return:
The treatment may have led to a cure
The treatment may have failed, but the patient gotbetter anyway
The patient may have gotten worse and gone elsewhere
The patient may have died
Feedback is essential for the providers
Interactive Aspects ofCommunication
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Nonadherence to treatment regimens
Antibiotic regimens
33% fail to comply
Behavior change (e.g., stop smoking, follow a diet)
80% fail to comply Prescription medications
85% fail to adhere completely
Results of Poor Patient-ProviderCommunication
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Causes of adherence:
Good communication
Type of treatment regimen Followed for a short time
Are simple
Require less frequent dosage
Dont interfere with other desirable activities
Adherence
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Teaching providers how to communicate Simple courtesy rules
Greet patients
Address them by name
Explain the purposes of procedures
Nonverbal communication skills Forward lean
Direct eye contact
Practice communication skills
Improving Patient-ProviderCommunication
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Teaching patients how to communicate
Teaching patients skills for eliciting informationfrom physicians
List questions before the visit
Improving Patient-ProviderCommunication
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Hospitalization can be difficult for children
Preparing children is beneficial
Showing them a film of another child after surgery
Relaxation training
Preparing Children for MedicalInterventions
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Teach nurses and parents behaviors
Do use: Distraction
Coping advice
Dont use: Reassurance
Empathy
Apology
Nurse and Parent Training inPostoperative Stress (N/P-TIPS)
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Non-traditional medical approaches used in
addition to or instead of traditional medicine
Top 5 CAM therapies:
Prayer 43%
Natural products (herbs, vitamins, and minerals) 17.7%
Deep Breathing 12.7%
Meditation 9.4%
Chiropractic and Osteopathic 8.6%
Complementary and AlternativeMedicine (CAM)
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Others: dietary supplements, acupuncture,
yoga, hypnosis, massage
Insufficient evidence to evaluate theeffectiveness of most CAM therapies
Highly individualized
Multiple CAM therapies are often used
CAM
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Compared:
Providers referral of CAM therapies Child use of CAM therapies
Providers recommended 26 of the 32 optionsmore often than children were using them
Deep breathing exercises Massage Pet therapy Dietary supplements
Pediatric CAM Use
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Questions?
Thank you
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